05D0666628 CLIA NUMBER - NORTH VALLEY NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0666628
  • Facility Name: NORTH VALLEY NURSING CENTER
  • Facility Address: 7660 WYNGATE STREET
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 818 352-1454
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FELCAR L. MORADA, MD
  • NPI Number: 1770689697
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0666628
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTH VALLEY NURSING CENTER
Street 7660 WYNGATE STREET
City TUJUNGA
State CA
ZIP 91042
Phone 818 352-1454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FELCAR L. MORADA, MD

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This page was last updated on: 9/29/2025